Member - Randleman Chamber of Commerce, NC

Member Application

Your investment in your business, community and chamber shows how important you are to the Randleman Chamber ! The chamber represents an exciting network of individuals, businesses and industries committed to the growth and quality of life of Randleman and the surrounding areas. Together we can achieve success in our community by investing in its future !
Business Information

Company Name: *

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Phone: *

Website:

Email: *

Business Description (200 char max): *

Directory Category:

Employees:

Full-time Part-time

Business Keywords (enter a space between words): *

Comments / Questions:

Physical Address

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Line 2:

City: *

State: *

Postal Code: *

Country: *

Mailing Address

Same as physical address

Line 1: *

Line 2:

City: *

State: *

Postal Code: *

Country: *

Primary Contact Information

First Name: *

Last Name: *

Title:

Phone: *

Cell Phone:

Fax:

Email: *

Contact Preference:

Email Phone

Login: *

Password: *

Social Networking:

LinkedIn Facebook

Address

Same as Member Address

Line 1: *

Line 2

City: *

State: *

Postal Code: *

Country: *

Billing Contact Information

Same as Primary Contact

First Name: *

Last Name: *

Title:

Phone: *

Cell Phone:

Fax:

Email: *

Contact Preference:

Email Phone

Login: *

Password: *

Social Networking:

LinkedIn Facebook

Address

Same as Member Address

Line 1: *

Line 2

City: *

State: *

Postal Code: *

Country: *

Membership Options

Membership Package: *

Group I: See fee schedule to determine the fee and enter it below.
General business Group II Professionals: $0.00
Consists of doctors, lawyers, realtors, CPAs, like or similar fields Group III: $0.00
Financial, Utilities & Government 1 - 5 $350 6 - 10 $385 11 - 15 $420 16 -20 $455 21 - 25 $490 26 - 30 $525 31 & up $560 Group IV: $0.00
This group consists of churches, civic organizations and non profits Group V: $0.00
Colleges, universities & associates Group VI: $0.00
Retired persons age 55 and up No affiliation with business, industry or non profit $40 per person Group VII: See fee schedule to determine the fee and enter it below.
Hotels, apartments, condos, duplexes like or similar If using fee schedule, enter fee here:

Payment Option:

Bill me Charge my credit or debit card

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